Johnson, David W.

Johnson, David W. is an individual health care provider with primary practice located at 3111 San Pedro Ave , San Antonio TX 78212-2246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, David W. can be contacted via phone (210) 732-7141.

Contact Information

Primary practice address
3111 San Pedro Ave San Antonio TX 78212-2246
Phone: (210) 732-7141
Fax: (210) 732-5350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F3185 Texas

Profile Details

NPI number 1326061011
LBN Legal business name Johnson, David W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326061011 NPPES
Texas MEDICAID PO#130327303
Texas MEDICAID 130327306

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